arXiv:2606. 12169v1 Announce Type: cross Abstract: High-stakes clinical use of large vision-language models (LVLMs) requires reasoning that is grounded in visual evidence and clinical knowledge, not just correct final answers.
By Negin Baghbanzadeh, Pritam Sarkar, Michael Colacci, Abeer Badawi, Adibvafa Fallahpour, Arash Afkanpour, Leonid Sigal, Ali Etemad, Elham Dolatabadi
The paper presents a two‑stage multimodal framework for chest X‑ray interpretation that incorporates radiologist gaze data from the MIMIC‑Eye dataset. Stage 1 introduces a gaze‑token classifier that fuses image patches, bounding‑box masks, transcription embeddings, and fixation maps, and a curriculum‑scheduled loss that improves accuracy and spatial alignment, yielding a 4.4% AUC gain and 13.3% F1 improvement. Stage 2 translates classifier predictions into region‑specific diagnostic sentences using confidence‑weighted keywords, an expert dictionary, and a prompted large language model, boosting clinical‑term BERTScore and ROUGE over keyword baselines.
By Tanjim Islam Riju, Shuchismita Anwar, Saman Sarker Joy, Farig Sadeque, Swakkhar Shatabda
arXiv:2606. 31599v1 Announce Type: cross Abstract: Vision-language models (VLMs) combining reinforcement learning (RL) ignite remarkable progress in multimodal reasoning, yet still struggle with medical images, which typically exhibit extremely sparse visual evidence to inform clinical decision-making.
By Kaitao Chen, Weiqian Zhao, Jiamin Wu, Qihao Zheng, Shangquan Sun, Chunfeng Song, Xiaosong Wang, Mu Zhou, Mianxin Liu
arXiv:2606. 20244v1 Announce Type: cross Abstract: Vision-language models (VLMs) often underperform on evidence intensive tasks because decisive visual evidence are small, localized, and easy to overlook, leading to failures in evidence readout even when high-level reasoning is intact.
By Bo Yin, Xiaobin Hu, Chengming Xu, Ruolin Shen, Mo Yang, Jiangning Zhang, Peng-Tao Jiang, Cheng Tan, Shuicheng YAN
The paper introduces PIVOT, a dual-level learning framework designed to improve visually-grounded multimodal reasoning in large vision-language models. PIVOT employs a self‑calibrated experience replay mechanism to selectively reuse valuable visual reasoning trajectories, and a vision‑guided advantage allocation scheme that assigns extra rewards to tokens with strong visual support. Experiments on multiple benchmarks show that PIVOT enhances the multimodal reasoning performance of these models.
By Xinxin Song, Siyuan Li, Tingxiong Xiao, Jinli Suo
arXiv:2604. 09757v2 Announce Type: replace-cross Abstract: Medical vision--language models (VLMs) have shown strong potential for medical visual question answering (VQA), yet their reasoning remains largely text-centric: images are encoded once as static context, and subsequent inference is dominated by language.
By Suyang Xi, Songtao Hu, Yuxiang Lai, Wangyun Dan, Yaqi Liu, Shansong Wang, Xiaofeng Yang